Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами

Which cranial nerves are mainly involved in the gag reflex?

1. AOculomotor (III) and abducens (VI)
2. BOlfactory (I) and optic (II)
3. CGlossopharyngeal (IX) and vagus (X)
4. DTrigeminal (V) and facial (VII)

What is a suprapubic catheter?

1. AA tube placed into the kidney through the back
2. BA catheter passed into the bladder through the urethra
3. CA small catheter used only once and then removed
4. DA catheter put into the bladder through the abdomen

How is the pain of renal colic typically described?

1. ABurning pain in the chest after meals
2. BPain in the right lower abdomen that started near the navel
3. CA dull ache in the lower back after lifting
4. DSevere pain that comes in waves from the loin to the groin

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

1. AThe left hypoglossal nerve (XII)
2. BThe right facial nerve (VII)
3. CThe left trigeminal nerve (V)
4. DThe right hypoglossal nerve (XII)

Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?

1. ABeta-blockers can mask the tremor and racing heart of a hypo
2. BBeta-blockers raise blood glucose, so hypos cannot happen
3. CBeta-blockers block the effect of all diabetes medicines
4. DBeta-blockers make the patient sleep through every hypo

Why is all urine strained in a patient with suspected kidney stones?

1. ATo stop the stone from blocking the toilet
2. BTo measure the urine volume more accurately
3. CTo catch the stone so it can be analysed
4. DTo remove blood clots before testing

Which statement correctly distinguishes spinal shock from neurogenic shock?

1. ASpinal shock is low blood pressure; neurogenic shock is the loss of reflexes
2. BNeurogenic shock is caused by blood loss; spinal shock is caused by infection
3. CSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
4. DThey are two names for exactly the same condition

A patient with multiple sclerosis has had worse leg weakness for one day, together with a fever and burning on passing urine. What is the most likely explanation?

1. AA true relapse that needs high-dose steroids
2. BA pseudo-relapse caused by infection
3. CA side effect of physiotherapy
4. DA change to progressive MS